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EXPRESS RADIOLOGY GROUP, INC

Company Details

Entity Name: EXPRESS RADIOLOGY GROUP, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Feb 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Sep 2013 (11 years ago)
Document Number: P13000011311
FEI/EIN Number 46-2020546
Address: 7270 NW 12th Street, Suite 740, MIAMI, FL, 33126, US
Mail Address: 7270 NW 12th Street, Suite 740, MIAMI, FL, 33126, US
ZIP code: 33126
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043631914 2013-12-19 2014-01-29 175 FONTAINEBLEAU BLVD, SUITE 2 G1, MIAMI, FL, 331727018, US 175 FONTAINEBLEAU BLVD, SUITE 2 G1, MIAMI, FL, 331727018, US

Contacts

Phone +1 305-603-9983

Authorized person

Name FERNAN BLANCO
Role P.D
Phone 7862525023

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
License Number BMO59003
State FL
Is Primary Yes

Agent

Name Role Address
BLANCO FERNAN Agent 7270 NW 12th Street, MIAMI, FL, 33126

President

Name Role Address
BLANCO FERNAN President 7270 NW 12th Street, MIAMI, FL, 33126

Director

Name Role Address
BLANCO FERNAN Director 7270 NW 12th Street, MIAMI, FL, 33126
Valedon Yoslaine Director 7270 NW 12th Street, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-31 7270 NW 12th Street, Suite 740, MIAMI, FL 33126 No data
CHANGE OF MAILING ADDRESS 2022-01-31 7270 NW 12th Street, Suite 740, MIAMI, FL 33126 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-31 7270 NW 12th Street, Suite 740, MIAMI, FL 33126 No data
AMENDMENT 2013-09-03 No data No data
REGISTERED AGENT NAME CHANGED 2013-09-03 BLANCO, FERNAN No data
AMENDMENT 2013-07-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State